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Organization
PHYSICAL THERAPY & SPORTS REHABILITATION, LLC
Active
Organization
PHYSICAL THERAPY & SPORTS REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN PORTER P.T. (OWNER)
(262) 723-2442
Entity
Organization
Contact information
Practice address
58 W MARKET ST, UNIT J, ELKHORN, WI 53121-1168
(262) 723-2442
(262) 723-2412
Mailing address
58 W MARKET ST, UNIT J, ELKHORN, WI 53121-1168
(262) 723-2442
(262) 723-2412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4381-024
WI
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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